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US Task Force Recommends Obesity Screening for Children, Adolescents ELK GROVE VILLAGE, Ill -- January 26, 2010 -- Based on new evidence that children and adolescents can be effectively treated for obesity, the US Preventive Services Task Force recommends that clinicians screen children aged 6 to 18 years for obesity and refer them to programs to improve their weight status (grade B recommendation). This recommendation applies to children and adolescents aged 6 to 18 years with a body mass index between the 85th and 95th percentiles. The US Task Force did not find sufficient evidence for screening children aged younger than 6 years. The recommendations are explained in the special article entitled, “Screening for Obesity in Children and Adolescents: US Preventive Services Task Force Recommendation Statement,” published early online and appearing in the February issue of Pediatrics. The task force reviewed 20 clinical trials of behavioural and pharmacologic interventions for obesity and found comprehensive, moderate- to high-intensity programs are effective at helping children improve their BMI. Comprehensive programs included 3 components: (1) Counselling for weight loss or healthy diet; (2) counselling for physical activity or a physical activity program; and (3) behavioural management techniques such as goal setting and self monitoring. Moderate- to high-intensity programs involve greater than 25 hours of contact with the child and/or the family over a 6-month period. Height and weight, from which BMI is calculated, are routinely measured during health maintenance visits. Families who seek treatment for obesity should look for comprehensive programs that address weight control through healthy food choices, physical activity, and behavioural skill-building. The recommendations can be read here: http://pediatrics.aappublications.org/cgi/reprint/peds.2009-2037v1 SOURCE: American Academy of Pediatrics E-mail this page to a friend or colleague! To print, use this version